The New York State Center of Excellence for Family Planning and Reproductive Health Services (NYS COE) has convened the 2015-2016 Learning Collaborative for 12 highly motivated family planning providers that are ready to utilize the principles of performance management to examine and make improvements in the proportion of adolescents (12-19 year-olds) and young adults (aged 20-24 years) that they serve, with an emphasis on those adolescents and young adults with incomes at or below 100% of the federal poverty level (FPL). This Learning Collaborative–which built off the successes of the first two Learning Collaboratives in 2013 and 2014– was part of the New York State Department of Health’s (NYS DOH) broader quality strategy, which aimed to foster a "culture of improvement" across all of its public health programs.
The specific aims of the 2015-2016 NYS COE Learning Collaborative were to:
- Increase the proportion of adolescent clients, specifically clients served from the following age groups: under 15 years, 15-17 years, and 17-19 years.
- Increase the proportion of clients served who are between 20 and 24 years.
Between 2011 and 2014, the proportion of clients who were served as part of NYS DOH’s Title X Family Planning Program and were under 20 years of age decreased by 15.3%; the proportion of clients aged 20 to 24 years decreased by 8.2%. During the same time frame, the number of young people in New York State did not change. This decline in the total proportion of adolescents and young adults served by NYS DOH’s Title X network is of concern given that (1) teens 15-19 years account for the highest proportion of pregnancies that are unintended—82%—and, (2) young women 20-24 years represent the largest total number of unintended pregnancies annually, and indicates an unmet need for sexual and reproductive health services.1
Selected agencies came together for three face-to-face learning sessions to increase the proportion of adolescents and young adults served, approaching the issue from multiple angles, considering how outreach, education, and community engagement strategies; steps in the delivery of care; and use of evidence-based and other best practices all contribute to overall performance.
- Community Healthcare Network
- Family Planning of South Central New York
- Greene County Family Planning
- Harlem Hospital Center
- Kaleida Health
- Morris Heights Health Center
- Oswego County Opportunities
- Planned Parenthood Nassau County
- Planned Parenthood of Central & Western New York
- Planned Parenthood of the North Country New York
- Public Health Solutions
1Finer LB, Zolna MR. Shifts in intended and unintended pregnancies in the United States, 2001–2008. American Journal of Public Health, 2014; 104(S1):S43-8.